Robotic Surgery Assisted by the ZEUS System

Urology has continuously embraced novel technologies, such as shockwave lithotripsy, lasers, and laparoscopy, that reduce patient morbidity yet maintain an excellent standard of care. To potentially increase the clinical applicability of laparoscopy, robots that enhance operative performance have recently been introduced for a variety of laparoscopic procedures, such as laparoscopic radical prostatectomy, pyeloplasty, and nephrectomy. Although the introduction of robotics has generated excitement, its benefits in large series of patients remain largely unknown. In this review, we mainly focus on one of the available robotic systems, the ZEUS system, and describe its features, including its advantages and limitations. We also review the emerging clinical applications of the ZEUS robotic system, including our recent cases of laparoscopic radical prostatectomy assisted by ZEUS, and the future potential of robotics in urology.